PMID- 24199166 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20131107 LR - 20211021 IS - 2233-6079 (Print) IS - 2233-6087 (Electronic) IS - 2233-6079 (Linking) VI - 37 IP - 5 DP - 2013 Oct TI - Risk factors for the progression of intima-media thickness of carotid arteries: a 2-year follow-up study in patients with newly diagnosed type 2 diabetes. PG - 365-74 LID - 10.4093/dmj.2013.37.5.365 [doi] AB - BACKGROUND: Intima-media thickness (IMT) of the carotid arteries is known to have a positive correlation with the risk of cardiovascular disease. This study was designed to identify risk factors affecting the progression of carotid IMT in patients with type 2 diabetes mellitus (T2DM). METHODS: Patients with newly diagnosed T2DM with carotid IMT measurements were enrolled, and their clinical data and carotid IMT results at baseline and 2 years later were compared. RESULTS: Of the 171 patients, 67.2% of males and 50.8% of females had abnormal baseline IMT of the left common carotid artery. At baseline, systolic blood pressure, body mass index and smoking in male participants, and fasting plasma glucose and glycated hemoglobin levels in females were significantly higher in patients with abnormal IMT than in those with normal IMT. Low density lipoprotein cholesterol (LDL-C) levels in males and high density lipoprotein cholesterol (HDL-C) levels in females at the 2-year follow-up were significantly different between the nonprogression and the progression groups. Reduction of the United Kingdom Prospective Diabetes Study (UKPDS) 10-year coronary heart disease (CHD) risk score after 2 years was generally higher in the nonprogression group than the progression group. CONCLUSION: LDL-C levels in males and HDL-C levels in females at the 2-year follow-up were significantly different between participants with and without progression of carotid IMT. Furthermore, a reduction in the UKPDS 10-year CHD risk score appeared to delay the advancement of atherosclerosis. Therefore, the importance of establishing the therapeutic goal of lipid profiles should be emphasized to prevent the progression of carotid IMT in newly diagnosed T2DM patients. FAU - Chin, Sang Ouk AU - Chin SO AD - Department of Endocrinology and Metabolism, Kyung Hee University School of Medicine, Seoul, Korea. FAU - Hwang, Jin Kyung AU - Hwang JK FAU - Rhee, Sang Youl AU - Rhee SY FAU - Chon, Suk AU - Chon S FAU - Hwang, You-Cheol AU - Hwang YC FAU - Oh, Seungjoon AU - Oh S FAU - Ahn, Kyu Jeung AU - Ahn KJ FAU - Chung, Ho Yeon AU - Chung HY FAU - Woo, Jeong-Taek AU - Woo JT FAU - Kim, Sung-Woon AU - Kim SW FAU - Kim, Young Seol AU - Kim YS FAU - Kang, Ja-Heon AU - Kang JH FAU - Jeong, In-Kyung AU - Jeong IK LA - eng PT - Journal Article DEP - 20131017 PL - Korea (South) TA - Diabetes Metab J JT - Diabetes & metabolism journal JID - 101556588 PMC - PMC3816138 OTO - NOTNLM OT - Atherosclerosis OT - Carotid artery intima-media thickness OT - Diabetes mellitus type 2 OT - Risk factors COIS- No potential conflict of interest relevant to this article was reported. EDAT- 2013/11/08 06:00 MHDA- 2013/11/08 06:01 PMCR- 2013/10/01 CRDT- 2013/11/08 06:00 PHST- 2013/02/13 00:00 [received] PHST- 2013/05/07 00:00 [accepted] PHST- 2013/11/08 06:00 [entrez] PHST- 2013/11/08 06:00 [pubmed] PHST- 2013/11/08 06:01 [medline] PHST- 2013/10/01 00:00 [pmc-release] AID - 10.4093/dmj.2013.37.5.365 [doi] PST - ppublish SO - Diabetes Metab J. 2013 Oct;37(5):365-74. doi: 10.4093/dmj.2013.37.5.365. Epub 2013 Oct 17.